Kami Lynn Blackhurst, OT/L in Prescott, AZ - Medicare Occupational Therapist Provider

Kami Lynn Blackhurst, OT/L is a medicare enrolled "Occupational Therapist" provider in Prescott, Arizona. Her current practice location is 2920 E Shelf Rd, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 899-1266.

Kami Lynn Blackhurst is licensed to practice in Arizona (license number OT3804) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881858496.

Contact Information

	Kami Lynn Blackhurst, OT/L
	2920 E Shelf Rd, Prescott, AZ 86303-8612
	(928) 899-1266
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kami Lynn Blackhurst
Gender	Female
Speciality	Occupational Therapist
Location	2920 E Shelf Rd, Prescott, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881858496
Provider Enumeration Date: 07/12/2008
Last Update Date: 07/12/2008

Medicare PECOS Information:

PECOS PAC ID: 1052554904
Enrollment ID: I20130826000511

Medical Identifiers

Medical identifiers for Kami Lynn Blackhurst such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881858496	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT3804 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kami Lynn Blackhurst allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942793534 PECOS PAC ID: 6507832573 Enrollment ID: O20190501002244

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kami Lynn Blackhurst is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kami Lynn Blackhurst, OT/L Po Box 26660, Prescott Valley, AZ 86312-6660 Ph: (928) 899-1266	Kami Lynn Blackhurst, OT/L 2920 E Shelf Rd, Prescott, AZ 86303-8612 Ph: (928) 899-1266

Reviews and Comments

Occupational Therapist in Prescott, AZ

Allison Anne Allen, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3160 Stillwater Dr, Prescott, AZ 86305 Phone: 928-925-0553 Fax: 928-776-7753
Haley Ruth, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 N Us Highway 89, Prescott, AZ 86313 Phone: 603-731-4804
Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 242 Whipple St Ste 1, Prescott, AZ 86301 Phone: 623-693-4064
Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 N Mount Vernon Ave, Prescott, AZ 86301 Phone: 928-771-2406 Fax: 928-771-9519
Jessica Rachel Norris, MOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1045 Whipple St, Prescott, AZ 86305 Phone: 928-777-9897 Fax: 928-717-0019
Ms. Deeann Louise Lett Neal, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3105 Clearwater Dr Ste B, Prescott, AZ 86305 Phone: 928-776-4349 Fax: 928-776-4369
Valerie Williams, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 926 S. Hinman Dr., Prescott, AZ 86305 Phone: 928-717-3236

Kami Lynn Blackhurst, OT/L - Medicare Occupational Therapist in Prescott, AZ